| Regimental number | 13/851 |
| Address | Bourne Street, Mount Eden |
| Marital status | Single |
| Next of kin | Mother, Mrs Jane Smith, Bourne Street, Mount Eden, Auckland |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Auckland Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board HMNZT 23 Waitomo on |
| Miscellaneous details | Nominal Roll Vol. 1: Auckland Mounted Rifles/Fourth |